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Borderline and Histrionic personality disorders may be manifestations in females of secondary type psychopathy (as measured by Factor 2 of the PCL-R test). In other words: Borderline and Histrionic women may actually be psychopaths. A growing body of recent studies supports this startling conclusion. Survivors of CPTSD also manifest psychopathic and narcissistic behaviors (overlay)

Intimate partners won't not surprised: impulsivity, defiant grandiosity, antisocial and interpersonal aggression, manipulativeness, dysregulated negative emotionality, lack of object constancy (object impermanence), attachment dysfunctions, hostility, splitting (dichotomous thinking), high levels of distress, anxiety, depression, and substance abuse are all typical of and common among secondary psychopaths - and among Borderlines. These women also defy gender roles and behavioral norms (act masculine). But the Borderline adds a twist to this cocktail: dissociation. Whenever stress levels and inner dissonance become intolerable, she hands over control to her inner psychopath, depersonalizes, derealizes, or develops amnesia.

When the Borderline's life partner is another proud member of the Cluster B tribe (another Borderline or Psychopath, or a Narcissist), he reacts with equal measures of abuse to her frequent misconduct. The relationship ineluctably devolves into a vicious power play and warping cruel mind games, exacerbating traumatic mental health outcomes for everyone involved.

Dissociative depersonalization and derealization are common reactions in Borderline Personality Disorder (BPD), in Dissociative Identity Disorder DID, formerly known as Multiple Personality Disorder or MPD), and in patients with post-traumatic stress disorders, such as PTSD and CPTSD.

The experience is variously described as being on auto-pilot, sliding into anaesthesia, or reverting to the status of an empathic or sad spectator. It is provoked by intolerable dissonance (for example: when cheating on a partner, having ambivalent sex, breaking the law, or breaching some deeply held mores and values). The patient distances herself from the events, from her pain, and from anticipated abandonment and rejection via the mechanisms of estrangement and alienation: "This is not happening to me, this is just a nightmare, not real". Substance abuse and ambient distractions (bar hopping or video games) tend to exacerbate these reactive patterns and the patient often misattributes to alcohol or drugs the behaviors wrought by her alters or the subsequent amnesia.